DR. PHILIP JOHN BANEY IV (NPI# 1245253723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245253723 |
| Entity Type | Individual |
| Full Name | DR. PHILIP JOHN BANEY IV |
| Credential | M.D. |
| Practice Address |
31 Industrial Dr Hamburg PA 19526-8778 |
| Mailing Address |
Po Box 13579 Reading PA 19612-3579 |
| Practice Telephone | 6108162170 |
| Practice Fax Number | 6105629814 |
| Mailing Telephone | 4846280796 |
| Mailing Fax Number | 4843347026 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2016-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD069454L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102325198 | 05 |
| Street Address |
31 INDUSTRIAL DR |
| City | HAMBURG |
| State | PA |
| Zip Code | 19526-8778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922005677 | Sana M. Chaudhry | Family Medicine | 31 Industrial Dr, Hamburg, PA 19526-8778 | 2005-07-07 |
| 1235685165 | Orthopaedic Associates of Reading, Ltd | Durable Medical Equipment & Medical Supplies | 31 Industrial Dr, Suite 150, Hamburg, PA 19526-8778 | 2016-08-31 |
| 1538168992 | James M Odonohue Sr. | Physical Therapist | 31 Industrial Dr, Suite 129, Hamburg, PA 19526-8778 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720458193 | Nicole Wisser | Counselor | 176 Hepner Road, Hamburg, PA 19526 | 2015-09-29 |
| 1457561169 | Sean Ryan Mcmenamin | Physical Therapist | Hamburg Center Old Rr 22, Hamburg, PA 19526 | 2007-05-23 |
| 1568675023 | Ricky M Massullo | Dentist | 132 S 4th St, Hamburg, PA 19526 | 2007-05-08 |
| 1275746067 | Tracy Anne Smith | Registered Nurse | 136 Southeast Drive, Hamburg, PA 19526 | 2007-05-08 |
| 1124149331 | Jean Lorraine Weller | Registered Nurse | Old Rt 22, Hamburg Center, Hamburg, PA 19526 | 2007-04-03 |
| 1013087832 | Peaceful Hearts Counseling Services Inc | Counselor | 548 Monument Road, Hamburg, PA 19526 | 2006-11-09 |
| 1467535104 | Theodore E Dando | Dentist | 303 State Street, Hamburg, PA 19526 | 2006-10-24 |
| 1932215530 | Robert Gregory Stratton Jr. | Emergency Medicine | 9 Daves Way, Hamburg, PA 19526 | 2006-08-23 |
| 1962461244 | Christine Elizabeth Deaner | Physical Therapist | 700 Hawk Ridge Dr 1, Hamburg, PA 19526 | 2006-03-23 |
| 1760469472 | Genesis Eldercare Rehabilitation Services LLC | Physical Therapist | 125 Holly Road, Laurel Center, Hamburg, PA 19526 | 2005-12-23 |
| Find all providers in zip 19526 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275997140 | Gregory Marra | Family Medicine | 5844 Southwestern Blvd, Hamburg, NY 14075-3684 | 2016-04-07 |
| 1760779342 | Jason J Matyascik | Family Medicine | 31 Industrial Dr Ste 100, Hamburg, PA 19526-8778 | 2011-07-05 |
| 1841505914 | Abdulhay Ahmed Bulbulia | Family Medicine | 5088 Lake Shore Rd, Hamburg, NY 14075-5753 | 2010-08-13 |
| 1013016401 | Robert J Nicaise | Family Medicine | 6294 Sunnyside Dr, Hamburg, NY 14075-5333 | 2006-09-21 |
| 1497781462 | Frederick M Occhino | Family Medicine | 517 Sunset Dr, Hamburg, NY 14075-4231 | 2006-06-23 |
| 1508800491 | Kristen Margaret Robillard | Family Medicine | 4855 Camp Road, Suite 100, Hamburg, NY 14075 | 2006-06-15 |
| 1912940214 | Maria Elena Matala-sullivan | Family Medicine | 4855 Camp Rd., Suite 100, Hamburg, NY 14075 | 2006-06-14 |
| 1770526097 | Laurence Roger Plumb | Family Medicine | 5037 Lake Shore Rd, Hamburg, NY 14075-5720 | 2006-06-14 |
| 1588613798 | Hamburg Health Clinic LLP | Family Medicine | 319 W Parker, Hamburg, AR 71646-3121 | 2006-05-08 |
| 1144295056 | Robert La Duca | Family Medicine | 4535 Southwestern Blvd, Unit 202, Hamburg, NY 14075-1860 | 2006-02-22 |
| Find all providers in HAMBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.